TRACEY ANN PRUDEN


Address: 1100 Mercer Ave, Decatur, IN 46733-2303
Phone: 2607242145

TRACEY ANN PRUDEN (NPI# 1699390179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699390179
Entity Type Individual
Full Name TRACEY ANN PRUDEN
Credential FNP-C
Practice Address 1100 Mercer Ave
Decatur
IN 46733-2303
Mailing Address 2501 E 800 N
Decatur
IN 46733-9453
Practice Telephone 2607242145
Mailing Telephone 2607015100
Enumeration Date 2020-06-10
Last Update Date 2020-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28202009A IN Nursing Service Providers
Y 363L00000X Nurse Practitioner 71010245A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1100 MERCER AVE
City DECATUR
State IN
Zip Code 46733-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710989710 Haven Dove Nurse Anesthetist, Certified Registered 1100 Mercer Ave, Decatur, IN 46733-2303 2005-08-10
1649820366 Katie Fralick Physician Assistant 1100 Mercer Ave, Decatur, IN 46733-2303 2019-09-14
1720648686 Tina Blowers Nurse Practitioner 1100 Mercer Ave, Decatur, IN 46733-2303 2019-06-13
1730680372 Joshua J Fullenkamp Registered Nurse 1100 Mercer Ave, Decatur, IN 46733-2303 2018-02-27
1376043752 Adams County Memorial Hospital Clinic/Center 1100 Mercer Ave, Decatur, IN 46733 2018-02-13
1013424035 Valorie Clouse Registered Nurse 1100 Mercer Ave, Decatur, IN 46733-2303 2017-12-29
1114430378 Baldemar Silva Social Worker 1100 Mercer Ave, Decatur, IN 46733-2303 2017-11-09
1932618956 Adams County Memorial Hospital Clinic/Center 1100 Mercer Ave, Decatur, IN 46733-2303 2017-09-21
1467970335 Sarah A Kuehnert Dietitian, Registered 1100 Mercer Ave, Decatur, IN 46733-2303 2017-08-31
1508394693 Timm M Reed Nurse Practitioner 1100 Mercer Ave, Decatur, IN 46733-2303 2017-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659742617 Adams County Auditor Public Health or Welfare 313 W. Jefferson St., Room # 320, Decatur, IN 46733 2015-10-15
1184908386 Logan D Anderson Pharmacist 123 N. 13th St, Decatur, IN 46733 2011-10-06
1992091797 Leah D Keller Social Worker 815 High St Ste C, Decatur, IN 46733 2011-06-21
1144559493 Preble Volunteer Firefighting Association, Inc. Ambulance 6242 N 400 W, Decatur, IN 46733 2009-12-16
1689703530 Blake A Taylor Dentist 234 N First St, Decatur, IN 46733 2007-03-05
1124163563 Decatur Dental Services,, Inc. Dentist Decatur, 6496 N Piqua Road, Decatur, IN 46733 2007-02-21
1215002597 Kelly S Ulman Dentist 6496 N Piqua Rd, Decatur, IN 46733 2006-11-21
1841362712 James E Taylor Dds and Associates Family Dentistry Dentist 234 N 1st St, Decatur, IN 46733 2006-11-15
1598844946 Michael Alan Harshman Optometrist 815 South 13th St., Decatur, IN 46733 2006-11-06
1184908220 Carla D Springer Pharmacist 123 N 13th St, Decatur, IN 46733 2011-10-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427686062 Tara Cooley Nurse Practitioner 909 Tracey Ln, Decatur, AL 35601-7701 2020-03-30
1407489479 Marathon Health LLC Nurse Practitioner 152 Ipsco St, Decatur, AL 35601-7412 2020-02-19
1518502475 Marissa Lynne Henderson Nurse Practitioner 609 Medical Center Dr Ste 2700, Decatur, TX 76234-3839 2019-11-14
1912463456 Kimberly S Williams Nurse Practitioner 4565 Riverwood Cir, Decatur, GA 30035-2935 2019-02-20
1164907242 Megan Skelley Nurse Practitioner 487 Winn Way Ste 202, Decatur, GA 30030-1728 2018-09-25
1508359969 Rebecca A Voyles Nurse Practitioner 575 W Hay St, Decatur, IL 62526-4164 2018-06-11
1598278558 Vera Mahou Nurse Practitioner 4150 Snapfinger Woods Dr Ste 120, Decatur, GA 30035-3417 2017-11-13
1346753738 Alexis Renee Graven Nurse Practitioner 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 2017-11-08
1508240409 Zachary Pitts Nurse Practitioner 2606 Woodridge Dr, Decatur, GA 30033-4835 2015-07-10
1891063095 Alexis E. Daugherty Nurse Practitioner 603 Church St, Decatur, GA 30030-2517 2011-12-02
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Competitor

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City DECATUR
Zip Code 46733

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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